Evaluating bladder catheterization during planned cesarean sections

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This trial investigates whether avoiding routine bladder catheterization during planned cesarean sections, for patients who can urinate spontaneously before the procedure, affects the incidence of postpartum urinary retention. It compares two approaches: one where patients urinate naturally prior to surgery and another where a catheter is placed during the operation. The study aims to determine if the absence of catheterization leads to fewer urinary complications within 24 hours post-surgery. This prospective randomized study will provide insights into the benefits and risks associated with catheter use in cesarean deliveries.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Adult patient
* Patient admitted for a planned cesarean section after 34 weeks under spinal anesthesia
* Single or twin pregnancy
* Unscarred or with one or two scars of the uterus

Exclusion Criteria:

* Positive urine test strip showing a presence of nitrites or leukocytes, the day before the surgery suggesting asymptomatic bacteriuria
* Emergency Caesarean
* Scheduled Caesarean section with intervention delayed beyond 3 p.m. for service organization reasons
* Epidural anesthesia
* Contraindication to spinal anesthesia (uncorrected hypovolemia; blood coagulation disorders; sepsis or severe inflammation at the puncture site; neurological deficit; migraine pattern; spinal cord disease; spinal malformation; febrile syndrome)
* ASA (American Society of Anesthesiologists) score ≥ 4
* Placental insertion abnormality (placenta previa and/or accreta)
* Medical indication for monitoring of diuresis
* Oliguria or renal failure
* Indication for use of intrathecal clonidine during scheduled cesarean section
* History of bladder surgery or surgical urological pathology during pregnancy (JJ catheter in place)
* History of complex abdominal surgery
* Impossibility or absence of obtaining free, informed and written consent, after a period of reflection
* Patient not affiliated or beneficiary of a national health insurance system
* Patient under legal protection, under guardianship or under curatorship
* Patient having participated in interventional research on a drug within 3 months before inclusion
* Patient participating in another interventional research
* Patient in exclusion period determined by another study

Where it's running

• Montpellier University Hospital
  Montpellier, France Recruiting
• Nîmes University Hospital
  Nîmes, France Recruiting

Study contacts

• Study coordinator: Audrey LAMOUROUX, MD
• Email: a-lamouroux@chu-montpellier.fr
• Phone: +334 66 68 37 99

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

• Effects of massage and exercises on cesarean scar and recovery

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• Reflexology and hand massage after cesarean section

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• Health education to see if primigravida women choose vaginal delivery more often

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  Recruiting Assiut University · Asyut, Asyut Governorate · NCT07810751

• Enhanced Recovery Adherence and Recovery Quality After Cesarean Delivery

  This study tests whether following enhanced recovery after cesarean delivery protocols is linked with better recovery quality in women having a planned cesarean with spinal anesthesia.

  Recruiting Bursa City Hospital · Bursa, Nilüfer · NCT07790471

• Predictors of severe pain within 24 hours after cesarean delivery with spinal anesthesia

  This study will look at which pre-, intra-, and post-operative factors are linked to severe pain in the first 24 hours after an elective cesarean done with spinal anesthesia.

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• Steri-Strips added to standard wound closure after cesarean delivery

  This study tests whether adding Steri-Strips after a C-section helps reduce wound problems for pregnant patients.

  Recruiting Riverside University Health System Medical Center · Moreno Valley, California · NCT07686913

How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.